Newhalf refers to individuals assigned male at birth but identify female. They may undergo HRT and gender confirmation surgery to align physical appearance with their gender identity. Otoko no ko are often connected to the crossdressing community and like sharing their femininity through attire and cosmetics. Some individuals may consider themselves mtf on a part-time or full-time basis, based on their comfort level. In recent years, otoko no ko have become more visible and accepted in society, leading to increased awareness and understanding.